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General NPI Number Information
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NPI Number | 1407651342
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Entity Type | Organization
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Legal Business Name | NURTURING VILLAGE CENTER, INC.
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1301 PYOTT RD STE 103
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City | LAKE IN THE HILLS
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State | IL
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Zip | 60156-9795
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Country | US
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Telephone | 815-893-9484
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Fax |
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Provider Business Mailing Address
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Address Line | 37 N ORIOLE TRL
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-4117
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Country | US
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Telephone | 630-697-5825
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ELIZABETH M KROTSER
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Credential |
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Telephone | 630-697-5825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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